Beverly Aileen Vavricka, MD
Obstetrics & Gynecology in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1649311069
StatusActive
Last updated in NPPESNov 7, 2014
Details
- NPI
- 1649311069
- Entity type
- Individual (NPI-1)
- Name
- Beverly Aileen Vavricka
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2007
- Last updated
- Nov 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 24497 | OK | Yes |
Practice location
4140 W Memorial Rd500
Oklahoma City, OK 73120-8366
Phone 405-936-8750
Mailing address
4140 W Memorial Rd500
Oklahoma City, OK 73120-8366
Phone 405-936-8750
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